Individual
DR. CARLA DALE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, MBA
Contact information
Practice address
2417 N HASKELL AVE, DALLAS, TX 75204-3707
(214) 370-5558
(972) 656-4731
Mailing address
8110 PARK LN APT 520, DALLAS, TX 75231-6092
(469) 452-3650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61510
TX
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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